History taking Flashcards
How should you open the consultation?
Greet the patient, introduce yourself and the dental nurse, confirm name and DOB, ask patient to make themselves comfortable, explain assessment, gain consent
What does C/O stand for?
Complaining of (problem in patient’s own words)
What does HPC stand for?
History of Present Complaint (description, duration, severity, exacerbating / relieving factors)
What does PMH stand for?
Past Medical History (inc. diabetes, allergies, drugs)
What does PDH stand for?
Past Dental History (regular attender, last visit, past treatments and conditions)
What does SH stand for?
Social history (tobacco, alcohol, work, stress, carer, wind instrument)
Questions to ask when taking a full pain history?
Site
Onset
Character
Radiation
Associations
Time course (pattern0
Exacerbating/relieving factors
Severity
What to do after a patient has told you about their presenting complain
summarise
Advantage of signposting whilst taking history
useful for transitioning and allows patient to prepare for what is next
Embouchure definition
the position and use of lips, tongue and teeth in playing a wind instrument
Which wind instruments use intra-oral mouth pieces?
clarinet, saxophone, oboe, bassoon
Which wind instruments use extra-oral mouthpieces?
piccolo, flute, trumpet, horn, trombone, tuba (may move anterior teeth backwards)
How will diabetes (PMH) affect a patient?
might be important to time appointments with dietary control (risk of hypoglycaemia), slow healing of lesions, special care of periodontal tissues
Precautions with patients that have a latex allergy
latex free gloves and rubber dam
Precautions to take with an epileptic patient
avoid removable options, excellent retention and stability of dentures.
